Domonique Jones Goode
Individual provider Active NPI Counselor · Kingstree, SC
NPI 1508202797 · NPPES record last updated May 15, 2013
Key facts
- NPI
- 1508202797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 1503 Woodland Dr
Kingstree, SC 29556-2123 - Phone
- (843) 355-7233
- NPI assigned
- May 15, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
1503 Woodland Dr
Kingstree, SC 29556-2123
Mailing address
1503 Woodland Dr
Kingstree, SC 29556-2123
Phone (843) 355-7233
Other providers in Kingstree, SC
- Jafer Nasser Gheraibeh
- Jalisa Vonett Gibbs
- Good Samaritan Adult Day Care
- Good Samaritan Home Care Services, LLC
- Good Samaritan Residential Care
- Graceful Companion Home Care LLC
- Dexter Graham
- James A. Graham Jr.
- Meridith Tara Graham
- Sheretta Graham
All providers in Kingstree, SC · Counselor in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.